A Pragmatic Evaluation of the Effects of Mixed Income Redevelopment on Low-Income Families: Evidence from Envision Cayce

The traditional approach to public housing redevelopment involves displacement of existing residents either temporarily or permanently. Dismantling these communities disrupts social support networks, potentially offsetting the health benefits produced by improved housing and neighborhood conditions. We propose to evaluate a unique, anti-displacement, public housing redevelopment in Nashville, Tennessee’s Cayce Place neighborhood. Over the next several years, Cayce Place is undergoing a one-for-one replacement of the ~700 low-income units. The redevelopment will convert the neighborhood to a mixed-income community with 2,400 housing units, of which 40% will be dedicated to low-income residents. The project's goals are to deconcentrate poverty, reduce racial segregation in housing, and increase the well-being of the Cayce's predominantly Black population. We will use sequential, explanatory mixed methods to answer the following:

• What are the redevelopment’s impacts on residents’ health and health-related behaviors?
• How does redevelopment affect residents’ social cohesion, connectedness, and neighborhood norms?
• How do social cohesion and connectedness moderate the relationship between redevelopment, health-related behaviors, and health?

We will obtain resident data through in-person surveys of Cayce households, administrative data from the housing authority, and Medicaid claims. Data will be linked at the person-level allowing us to compare outcomes between residents who have and have not yet moved and to track changes within individuals over time. We will also collect rich qualitative data through focus groups with Cayce residents, providing context and depth in understanding for our quantitative findings. This proposal presents a unique opportunity to disentangle the impacts of revitalized housing, social cohesion, and health. If effective, this novel approach to anti-displacement housing revitalization may serve as a model for cities throughout the United States.

传统公共住房改造的方法往往涉及对现有居民的临时或永久性搬迁。这些社区的解体可能破坏社会支持网络，从而抵消由改善的住房和邻里环境带来的健康益处。我们提议评估田纳西州纳什维尔市凯斯普莱斯社区的独特反搬迁公共住房改造项目。在未来几年内，凯斯普莱斯社区将进行约700套低收入住房的一对一置换。改造计划将把该社区转变为一个收入混合社区，拥有2,400套住房单元，其中40%将专门用于低收入居民。该项目旨在分散贫困，减少住房中的种族隔离，并提高凯斯普莱斯社区以黑人为主的居民福祉。我们将采用顺序性的解释性混合方法来回答以下问题：

• 改造对居民健康和与健康相关行为的影响是什么？
• 改造如何影响居民的社会凝聚力、联系感和邻里规范？
• 社会凝聚力和联系感如何调节改造、与健康相关行为和健康之间的关系？

我们将通过凯斯普莱斯家庭的实地调查、住房管理局的行政数据和医疗补助索赔来获取居民数据。数据将在个人层面进行关联，使我们能够比较已搬迁和尚未搬迁的居民之间的结果，并追踪个人随时间的变化。我们还将通过凯斯普莱斯居民的焦点小组收集丰富的定性数据，为我们的定量发现提供背景和深度。本提案提供了一个独特的机会，以解开复兴住房、社会凝聚力和健康的影响。如果有效，这种新颖的反搬迁住房复兴方法可能成为美国各城市的典范。